Ibibazo Byo Kuterwa Inkunga Y'Igice Cy'Ibanga, Gucika Kw'Umura

Amabuye afasha n'utundi tugize umubiri bifata umura. Iyo iyo mitsi ifasha ikomeye igahorana, umura ushobora kuva aho wari usanzwe ugana mu kibuno. Ibi bita umura umanuka.

Umura umanuka ubaho iyo imitsi yo hasi y'igice cy'inda ikomeye igahorana ku buryo idashobora kongera gufasha umura. Ku bw'ibyo, umura umanuka ujya mu kibuno cyangwa ugaragara hanze yacyo.

Umura umanuka ugaragara cyane ku bantu bamaze gucura, baba barabyaye inshuro imwe cyangwa nyinshi.

Umura umanuka utera uburibwe ntabwo uba ukenewe kuvurwa. Ariko umura umanuka utera ibibazo cyangwa ugakomanya imibereho ya buri munsi ushobora kuvurwa.

Umusurike mu nda uterwa imbere mu buryo buke ni bwo busanzwe nyuma yo kubyara. Ubusanzwe ntabwo uterwa n'ibimenyetso. Ibimenyetso by'umusurike mu nda uterwa imbere mu buryo buciriritse cyangwa bukabije birimo:

• Kubona cyangwa kumva umubiri ugaragara hanze y'inda
• Kumva ibintu biremereye cyangwa bikurura mu kibuno
• Kumva nk'aho umwanya w'inkari utuzuye neza iyo ukoresha ubwiherero
• Kugira ibibazo byo kunyara, bizwi kandi nka incontinence
• Kumva nk'aho wicaye ku mupira muto
• Kumva nk'aho umubiri w'inda uri gukorakora ku myenda
• Impungenge z'imibonano mpuzabitsina, nko kumva nk'aho umubiri w'inda uri gusakaza

Gira inama n'umuganga kugira ngo muganire ku buryo bwo kuvura ibibazo by'uburwayi bw'umura, niba ibimenyetso by'umura ugaragara bikubangamiye kandi bikubuza gukora imirimo ya buri munsi.

Uterine prolapse iterwa no kudakomeza kw'imikaya y'igice cy'ibanga n'imiterere ikingira. Ibitera kudakomeza kw'imikaya y'igice cy'ibanga n'imiterere harimo:

• Kubyara inzira y'inda
• Imyaka y'umuntu ubwo yabyaraga bwa mbere (abagore bakuze bafite ibyago byinshi byo gukomereka mu gice cy'ibanga ugereranije n'abagore bakiri bato)
• Kubyara bigoye cyangwa gutera impagarara mu gihe cyo kubyara
• Kubyara umwana munini
• Kuba ufite ibiro birenze urugero
• Kugabanuka kw'igipimo cya estrogen nyuma y'ikuzima
• Impatwe zidakira cyangwa gukoresha imbaraga mu gihe cyo kunnya
• Inkondo idakira cyangwa bronchitis
• Guhora utwara ibiremereye

Ibintu bishobora kongera ibyago byo kugwa kw'umura:

• Kugira umwana umwe cyangwa abarenga bavukiye mu kibuno
• Kuba mukuru igihe umwana wawe wa mbere avuka
• Kubyara umwana munini
• Gusaza
• Kubyibuha
• Ibibujijwe byo kubaga mu gice cy'imibiri
• Impatwe zidakira cyangwa gukomeretsa kenshi mu gihe cyo kunyaza
• Amateka y'umuryango afite imyenda ihuza idakomeye
• Kuba Umunyamerika cyangwa umuzungu
• Inkondo zidakira, nko guhumeka itabi

Uterine prolapse ikunda kubaho hamwe no kugwa kw'ibindi bice by'imibiri yo mu kibuno. Ubwo bwoko bwo kugwa bushobora kandi kubaho:

• Anterior prolapse. Anterior prolapse iterwa n'imiterere ihambanye idakomeye iri hagati y'umwijima n'urugo rw'inda. Ishobora gutuma umwijima ududubira mu gitsina. Ibi bita cystocele cyangwa umwijima wagize prolapse.
• Posterior vaginal prolapse. Imitetere ihambanye idakomeye iri hagati y'umura ariko n'urugo rw'inda ishobora gutuma umura ududubira mu gitsina. Ibi bishobora gutera imbogamizi mu kwicara. Posterior vaginal prolapse ikunze kwitwa rectocele.

Kugira ngo ugabanye ibyago byo kugwa kw'umura, gerageza ibi bikurikira:

• Kwirinda gucibwamo. Nywa amazi ahagije kandi urye ibiryo birimo fibre nyinshi, nka imbuto, imboga, ibishyimbo n'ibinyampeke byuzuye.
• Kwirinda imirimo iremereye. Niba ugomba gutwara ikintu kiremereye, ubikore neza. Gutwara ibiremereye neza bikoresha amaguru aho gukoresha umugongo cyangwa ikibuno.
• Kugabanya inkorora. Ivura inkorora ikaze cyangwa igicurane. Ntukore.
• Kwirinda kugira ibiro byinshi. Ganira na muganga wawe ku biro byawe byiza kandi umubaze uko wakuraho ibiro, niba ari ngombwa.

Ubwo buryo bwo kubona indwara y'umura (uterine prolapse) busanzwe bukunze kugaragara mu gihe cyo gupima igice cyo hasi cy'inda (pelvic exam). Mu gihe cyo gupima igice cyo hasi cy'inda, umuganga wawe ashobora kugusaba:

• Kwishima nk'aho ugiye kunnya. Ibi bifasha umuganga wawe kumenya neza aho umura wamanutse mu gitsina.
• Gukomereza imikaya y'igice cyo hasi cy'inda nk'aho ugiye guhagarika inkari. Iki kizamini kireba imbaraga z'imikaya y'igice cyo hasi cy'inda.

Ushobora kandi kuzuza ikarita y'ibibazo. Ibi bifasha umuganga wawe kumenya neza uko indwara y'umura ikugiraho ingaruka. Aya makuru afasha mu gufata ibyemezo bijyanye no kuvura.

Niba ufite ikibazo gikomeye cyo kunnya inkari, ushobora gukorerwa ibizamini bigamije kureba uko umwijima wawe ukora. Ibi bita isuzuma rya urodynamic.

Amabere y'inkondo afite imyambarire myinshi n'ubunini. Igikoresho gishyirwa mu gitsina maze kigatanga inkunga ku mitsi y'igitsina yimuwe n'indwara y'imikaya y'igitsina. Umukozi w'ubuzima arashobora gushyiramo umubare kandi agafasha gutanga amakuru yerekeye ubwoko bwaba bukora neza. Niba ufite indwara y'imikaya y'inkondo kandi ikakubabaza, ubuvuzi bushobora kutakenewe. Ushobora guhitamo gutegereza ukareba icyaba. Ariko iyo ibimenyetso by'indwara bikubabaza, umuvuzi wawe ashobora kugutekereza:

• Uburyo bwo kwita ku buzima bwite. Uburyo bwo kwita ku buzima bwite bushobora kugabanya ibimenyetso cyangwa gufasha gukumira ko indwara ikomeza kuba mbi. Uburyo bwo kwita ku buzima bwite harimo gukora imyitozo yo gukomeza imikaya y'igitsina. Ibi bita imyitozo ya Kegel. Ushobora kandi kungukirwa no kugabanya ibiro no kuvura impatwe.
• Umuti w'igitsina. Umuti w'igitsina ni igikoresho cya silicone gishyirwa mu gitsina. Bifasha gufata imitsi ivunitse. Umuti w'igitsina ugomba gukurwaho buri gihe kugira ngo woze. Ubuganga bushobora kuba bukenewe kugira ngo hakosorwe indwara y'imikaya y'inkondo. Ubuganga bukoreshwa buke, bwitwa ubuganga bwa laparoscopic, cyangwa ubuganga bw'igitsina bushobora kuba amahitamo. Niba ufite indwara y'imikaya y'inkondo gusa, ubuganga bushobora kuba:
• Gukuramo umukaya. Ibi bita hysterectomy. Hysterectomy ishobora gusabwa kubera indwara y'imikaya y'inkondo.
• Uburyo bufasha umukaya kuguma aho uri. Ibi bita uburyo budakuramo umukaya. Aya mabuganga ni ay'abantu bashobora kwifuza gutwita. Hari amakuru make yerekeye uko ubu bwoko bw'ubuganga bukora. Harakenewe ubundi bushakashatsi. Ariko niba ufite indwara y'imikaya y'ibindi bice by'igitsina hamwe n'indwara y'imikaya y'inkondo, ubuganga bushobora kuba bugoranye. Hamwe na hysterectomy yo gukuramo umukaya, umuganga wawe ashobora kandi:
• Gukoresha imishumi kugira ngo akosore imitsi y'igitsina idakomeye. Ibi bishobora gukorwa mu buryo busigira ubujyakuzimu n'ubugari bw'igitsina bidafashwe kugira ngo umubiri ukore neza.
• Gufunga umunwa w'igitsina. Ubu buryo bwitwa colpocleisis. Bishobora korohereza gukira nyuma y'ubuganga. Ubu buganga ni amahitamo gusa kubantu batakigomba gukoresha umuyoboro w'igitsina mu mibonano mpuzabitsina.
• Gushyiramo igice cy'umuyoboro kugira ngo hafatwe imitsi y'igitsina. Muri ubu buryo, imitsi y'igitsina ihambirwa ku gitsina gito ikoresheje ibikoresho bya sintetike. Ubuganga bwose bufite ibyago. Ibyago by'ubuganga bw'indwara y'imikaya y'inkondo birimo:
• Umusurire mwinshi
• Amaraso ahambiriye mu maguru cyangwa mu mpyiko
• Amazi
• Kugira ikibazo kubera anesthésie
• Gukomeretsa ibindi bice by'umubiri birimo uruhago, imiyoboro y'inkari cyangwa amara
• Indwara igaruka
• Kudafata inkari Ganira n'umukozi w'ubuzima wawe ku bijyanye n'uburyo bwose bwo kuvura kugira ngo wizeye ko usobanukiwe ibyago n'inyungu byabyo.

Ukurikije uko gucika kw'inkondo y'umukobwa bikomeye, uburyo bwo kwita ku buzima bwite bushobora kugabanya ibimenyetso. Washaka kugerageza ibi bikurikira:

• Gushimangira imikaya itera inkunga imiterere y'igice cy'ibanga
• Kurya ibiryo birimo amafibe menshi no kunywa amazi menshi kugira ngo wirinde gucibwamo
• Kwirinda gukanda mu gihe cyo kunyara
• Kwirinda imirimo iremereye
• Kugabanya inkorora
• Kugabanya ibiro niba uri umubyibuhe
• Kureka itabi

Imikino ya Kegel ishobora gushimangira imikaya y'igice cy'ibanga. Igice cy'ibanga gikomeye gitera inkunga imyanya y'igice cy'ibanga. Ibi bishobora kugabanya ibimenyetso bishobora kubaho kubera gucika kw'inkondo y'umukobwa.

Uburyo bwo gukora iyi mikino:

• Komatanya imikaya y'igice cy'ibanga nk'aho ugerageza kwirinda guhita usohora imyuka.
• Komatanya igihe kingana na sekondes eshanu, hanyuma usubire inyuma igihe kingana na sekondes eshanu. Niba ibi bigoye cyane, tanga ukomatanye igihe kingana na sekondes ebyiri hanyuma usubire inyuma igihe kingana na sekondes eshatu.
• Gerageza gukomatanya igihe kingana na sekondes icumi rimwe na rimwe.
• Intego ni ugukora byibuze amatsinda atatu y'uburyo icumi buri munsi.

Imikino ya Kegel ishobora kugira icyo imaze cyane iyo umuhanga mu kuvura umubiri ayigisha kandi akayongeramo imbaraga akoresheje uburyo bwo kubona amakuru y'umubiri (biofeedback). Biofeedback ikoresha ibikoresho byo kugenzura bituma habaho gukomanya neza kw'imikaya igihe kirekire kugira ngo bikore neza.

Iyo umaze kumenya uburyo bwo kuyikora neza, ushobora gukora imikino ya Kegel mu ibanga igihe icyo ari cyo cyose, haba wicaye ku meza cyangwa uri kwiruhura ku gicaniro.